Objetivo: Mensurar a incidência de lesão por pressão (LP) em usuários internados em unidades críticas de uma instituição pública de referência no sudoeste da Bahia. Método: Estudo longitudinal prospectivo. Os dados foram coletados entre junho e agosto de 2017, por meio de entrevista direta, prontuário, prescrição médica e inspeção da pele do participante. Resultados: Dos 83 participantes, 39 (47%) desenvolveram LP. A média de permanência no estudo foi de 6,8 dias. A maioria era do sexo masculino, de cor preta ou parda e tinha baixa escolaridade. A média de idade foi de 47,6 anos (±19,8). Foi evidenciado que o uso contínuo de drogas vasoativas e sedoanalgesia está associado à LP. Trinta e dois (38,55%) participantes apresentaram alto risco para desenvolvimento de LP. A região calcânea (44%) foi a mais acometida. O número de lesões por participante foi de 1,28, em média, predominando lesões no estágio 1 (68%). A ocorrência de desfecho desfavorável (óbito) foi estatisticamente significativa. Conclusão: O caráter multifatorial de surgimento das LP requer a adoção de medidas institucionais focadas na prevenção deste evento adverso, devendo fazer parte do processo de educação permanente dos profissionais.

The radiomorphometric indices applied in the present study can be used on panoramic radiographs to detect the presence of low bone density in SCD subjects.

BACKGROUND AND OBJECTIVES: The sensation of pain is essential for life, and its assessment in critical non-contacting patients can be performed using validated scales. The Behavioral Pain Scale is a highly accurate tool that has been widely used in this group of patients. This study aimed to describe and characterize pain and the use of analgesia in the emergency or intensive care service. METHODS: This was a cross-sectional study with a quantitative approach with 67 critically ill patients unable to verbalize their pain perception, who were hospitalized in the emergency service or Intensive Care Units of a public hospital in Vitória da Conquista, Bahia from April to July 2017. Clinical and epidemiological data were collected using the medical record and then applied to the Behavioral Pain Scale for pain assessment. RESULTS: There was a predominance of male patients (47/70.1%). Three groups were identified based on the use of sedatives and analgesics: patients taking sedatives and analgesics combined, only analgesia, and those without any sedation or analgesia. We observed ascending Behavioral Pain Scale scores in all groups during tracheal suction, but the same did not occur with the physiological parameters. CONCLUSION: The study proposes the adoption of pain assessment scales in critical patients, such as the Behavioral Pain Scale, as well as the use of protocols for analgesia management, and consequently improve the quality of care and patient's recovery.

Objectives: Measuring the incidence of pressure injury (PI) in users hospitalized in critical units of a public reference institution in southwestern Bahia. Method: Prospective longitudinal study. Data were collected between June and August of 2017, through a direct interview, medical records, medical prescription and inspection of the participant’s skin. Results: Of the 83 participants, 39 (47%) developed PI. The medium stay in the study was 6.8 days. Most of them were male, black or brown and had low schooling. The mean age was 47.6 years (± 19.8). It was evidenced that the continuous use of vasoactive drugs and sedoanalgesia is associated with PI. Thirty- two (38.55%) participants presented a high risk for PI development. The calcaneal region (44%) was the most affected. The number of lesions per participant was 1.28, on average, with lesions in stage 1 (68%) predominating. The occurrence of an unfavorable outcome (death) was statistically significant. Conclusion: The multifactorial character of the emergence of PI requires the adoption of institutional measures focused on the prevention of this adverse event, and should be part of the process of permanent education of professionals.